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CMS RVU26D · Effective 2026-10-01

67345 in Modesto

Office / nonfacility

$257.64

Base rate per service

Facility setting

$191.38

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmology

About 67345: Extraocular muscle chemodenervation

Reports injection of a chemodenervating agent into an extraocular muscle to temporarily weaken it, commonly to manage strabismus or diplopia.

An ophthalmologist, often a strabismus specialist, injects a chemodenervating agent into a selected extraocular muscle to reduce its activity temporarily. The treatment may be used for strabismus or diplopia when weakening a particular muscle is clinically appropriate. It is performed in an outpatient setting, including an office or procedure room, or in a facility setting.

Report 67345 for the chemodenervation procedure, rather than for surgical recession or resection of an eye muscle. The operative or procedure note should identify the treated muscle and eye, the indication, and the agent and dose administered. When the practice supplies the drug, report it separately under the applicable drug code when supported. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 67345

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.93 · 39%
  • Practice expense (office) RVU4.06 · 54%
  • Malpractice RVU0.53 · 7%

391

Medicare services in 2024 · #3757 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

67345 compared with similar codes

Office rates for Modesto, from the same CMS release.

67311

Eye muscle surgery

One horizontal muscle

No office rate

67311 is for surgical recession or resection of one horizontal muscle. Choose 67345 when the treatment is chemodenervation injection rather than muscle surgery.

67312

Strabismus surgery

Two horizontal muscles

No office rate

67312 describes surgical recession or resection involving two horizontal muscles. It is not the code for weakening a muscle by injection.

67314

Eye muscle surgery

One vertical muscle

No office rate

67314 is for surgical recession or resection of one vertical muscle. 67345 describes chemodenervation, regardless of whether the selected muscle is horizontal or vertical.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 67345 is $259.13—$1.49 higher than the $257.64 rate in Modesto. Both use the same code, release and participation basis.

67345 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $257.64

  2. Bakersfield

    $259.13

    $1.49 higher than Modesto

  3. Chico

    $257.64

    The same base rate than Modesto

  4. El Centro

    $257.73

    $0.09 higher than Modesto

  5. Fresno

    $257.64

    The same base rate than Modesto

  6. Hanford-Corcoran

    $257.64

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $274.06

    $16.42 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 67345 ranges from $223.47 in Arkansas to $313.66 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Merced

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Napa

    California · 67345

    Office

    $291.75

    Facility

    $212.07

    $34.11 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 67345

    Office

    $271.92

    Facility

    $200.46

    $14.28 higher than Modesto for the office setting.

  • Redding

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 67345

    Office

    $263.35

    Facility

    $197.09

    $5.71 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 67345

    Office

    $268.59

    Facility

    $198.28

    $10.95 higher than Modesto for the office setting.

  • Salinas

    California · 67345

    Office

    $267.56

    Facility

    $197.49

    $9.92 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 67345

    Office

    $272.58

    Facility

    $200.28

    $14.94 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 67345

    Office

    $306.49

    Facility

    $221.25

    $48.85 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 67345

    Office

    $305.89

    Facility

    $220.65

    $48.25 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 67345

    Office

    $313.66

    Facility

    $226.49

    $56.02 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 67345

    Office

    $311.20

    Facility

    $224.03

    $53.56 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 67345

    Office

    $263.47

    Facility

    $194.62

    $5.83 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 67345

    Office

    $274.17

    Facility

    $200.72

    $16.53 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 67345

    Office

    $268.21

    Facility

    $197.72

    $10.57 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 67345

    Office

    $276.82

    Facility

    $202.58

    $19.18 higher than Modesto for the office setting.

  • Stockton

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 67345

    Office

    $290.89

    Facility

    $211.21

    $33.25 higher than Modesto for the office setting.

  • Visalia

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 67345

    Office

    $257.64

    Facility

    $191.38

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 67345

    Office

    $282.60

    Facility

    $211.38

    $24.96 higher than Modesto for the office setting.

  • Miami

    Florida · 67345

    Office

    $283.80

    Facility

    $220.87

    $26.16 higher than Modesto for the office setting.

  • Chicago

    Illinois · 67345

    Office

    $275.46

    Facility

    $214.70

    $17.82 higher than Modesto for the office setting.

  • Manhattan

    New York · 67345

    Office

    $289.78

    Facility

    $219.53

    $32.14 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 67345

    Office

    $300.97

    Facility

    $236.59

    $43.33 higher than Modesto for the office setting.

  • Alabama

    Alabama · 67345

    Office

    $226.54

    Facility

    $173.64

    $31.10 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 67345

    Office

    $223.47

    Facility

    $171.54

    $34.17 lower than Modesto for the office setting.

  • Arizona

    Arizona · 67345

    Office

    $244.42

    Facility

    $185.84

    $13.22 lower than Modesto for the office setting.

  • Colorado

    Colorado · 67345

    Office

    $257.15

    Facility

    $192.83

    $0.49 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 67345

    Office

    $267.29

    Facility

    $202.18

    $9.65 higher than Modesto for the office setting.

  • Delaware

    Delaware · 67345

    Office

    $248.25

    Facility

    $188.52

    $9.39 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 67345

    Office

    $267.24

    Facility

    $206.00

    $9.60 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 67345

    Office

    $254.11

    Facility

    $196.32

    $3.53 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 67345

    Office

    $257.20

    Facility

    $195.77

    $0.44 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 67345

    Office

    $239.93

    Facility

    $186.00

    $17.71 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 67345

    Office

    $262.30

    Facility

    $193.56

    $4.66 higher than Modesto for the office setting.

  • Iowa

    Iowa · 67345

    Office

    $228.97

    Facility

    $173.66

    $28.67 lower than Modesto for the office setting.

  • Idaho

    Idaho · 67345

    Office

    $231.00

    Facility

    $175.38

    $26.64 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 67345

    Office

    $258.28

    Facility

    $202.66

    $0.64 higher than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 67345

    Office

    $249.34

    Facility

    $194.15

    $8.30 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 67345

    Office

    $269.19

    Facility

    $207.10

    $11.55 higher than Modesto for the office setting.

  • Indiana

    Indiana · 67345

    Office

    $232.18

    Facility

    $176.13

    $25.46 lower than Modesto for the office setting.

  • Kansas

    Kansas · 67345

    Office

    $229.38

    Facility

    $174.72

    $28.26 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 67345

    Office

    $234.62

    Facility

    $180.87

    $23.02 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 67345

    Office

    $245.58

    Facility

    $188.69

    $12.06 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 67345

    Office

    $234.84

    Facility

    $181.33

    $22.80 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 67345

    Office

    $279.55

    Facility

    $207.36

    $21.91 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 67345

    Office

    $256.33

    Facility

    $192.67

    $1.31 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 67345

    Office

    $266.84

    Facility

    $201.97

    $9.20 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 67345

    Office

    $252.33

    Facility

    $191.15

    $5.31 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 67345

    Office

    $233.63

    Facility

    $178.02

    $24.01 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 67345

    Office

    $243.42

    Facility

    $183.51

    $14.22 lower than Modesto for the office setting.

  • Detroit

    Michigan · 67345

    Office

    $258.57

    Facility

    $200.23

    $0.93 higher than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 67345

    Office

    $241.66

    Facility

    $186.46

    $15.98 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 67345

    Office

    $242.64

    Facility

    $180.44

    $15.00 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 67345

    Office

    $242.50

    Facility

    $185.73

    $15.14 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 67345

    Office

    $244.70

    Facility

    $187.15

    $12.94 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 67345

    Office

    $232.00

    Facility

    $179.89

    $25.64 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 67345

    Office

    $227.70

    Facility

    $175.65

    $29.94 lower than Modesto for the office setting.

  • Montana**

    Montana · 67345

    Office

    $251.14

    Facility

    $190.68

    $6.50 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 67345

    Office

    $235.70

    Facility

    $179.29

    $21.94 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 67345

    Office

    $240.66

    Facility

    $180.20

    $16.98 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 67345

    Office

    $229.72

    Facility

    $173.92

    $27.92 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 67345

    Office

    $254.52

    Facility

    $191.59

    $3.12 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 67345

    Office

    $280.24

    Facility

    $210.11

    $22.60 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 67345

    Office

    $269.28

    Facility

    $203.26

    $11.64 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 67345

    Office

    $243.48

    Facility

    $188.04

    $14.16 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 67345

    Office

    $248.35

    Facility

    $187.84

    $9.29 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 67345

    Office

    $298.24

    Facility

    $226.36

    $40.60 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 67345

    Office

    $272.18

    Facility

    $205.98

    $14.54 higher than Modesto for the office setting.

  • Queens

    New York · 67345

    Office

    $289.94

    Facility

    $218.48

    $32.30 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 67345

    Office

    $239.14

    Facility

    $181.70

    $18.50 lower than Modesto for the office setting.

  • Ohio

    Ohio · 67345

    Office

    $239.52

    Facility

    $184.32

    $18.12 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 67345

    Office

    $232.72

    Facility

    $178.73

    $24.92 lower than Modesto for the office setting.

  • Portland

    Oregon · 67345

    Office

    $263.26

    Facility

    $196.10

    $5.62 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 67345

    Office

    $245.37

    Facility

    $185.16

    $12.27 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 67345

    Office

    $261.91

    Facility

    $198.98

    $4.27 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 67345

    Office

    $239.08

    Facility

    $183.58

    $18.56 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 67345

    Office

    $252.40

    Facility

    $191.28

    $5.24 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 67345

    Office

    $255.60

    Facility

    $193.15

    $2.04 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 67345

    Office

    $238.21

    Facility

    $182.35

    $19.43 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 67345

    Office

    $239.42

    Facility

    $178.96

    $18.22 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 67345

    Office

    $230.64

    Facility

    $175.68

    $27.00 lower than Modesto for the office setting.

  • Austin

    Texas · 67345

    Office

    $257.22

    Facility

    $193.26

    $0.42 lower than Modesto for the office setting.

  • Beaumont

    Texas · 67345

    Office

    $237.71

    Facility

    $182.70

    $19.93 lower than Modesto for the office setting.

  • Brazoria

    Texas · 67345

    Office

    $246.84

    Facility

    $186.93

    $10.80 lower than Modesto for the office setting.

  • Dallas

    Texas · 67345

    Office

    $249.00

    Facility

    $188.79

    $8.64 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 67345

    Office

    $247.87

    Facility

    $188.26

    $9.77 lower than Modesto for the office setting.

  • Galveston

    Texas · 67345

    Office

    $247.96

    Facility

    $187.93

    $9.68 lower than Modesto for the office setting.

  • Houston

    Texas · 67345

    Office

    $257.66

    Facility

    $197.63

    $0.02 higher than Modesto for the office setting.

  • Rest Of Texas

    Texas · 67345

    Office

    $242.54

    Facility

    $185.17

    $15.10 lower than Modesto for the office setting.

  • Utah

    Utah · 67345

    Office

    $241.23

    Facility

    $184.40

    $16.41 lower than Modesto for the office setting.

  • Virginia

    Virginia · 67345

    Office

    $243.66

    Facility

    $184.24

    $13.98 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 67345

    Office

    $252.40

    Facility

    $191.28

    $5.24 lower than Modesto for the office setting.

  • Vermont

    Vermont · 67345

    Office

    $241.07

    Facility

    $181.22

    $16.57 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 67345

    Office

    $255.40

    Facility

    $191.74

    $2.24 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 67345

    Office

    $283.61

    Facility

    $209.43

    $25.97 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 67345

    Office

    $233.23

    Facility

    $175.31

    $24.41 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 67345

    Office

    $241.04

    Facility

    $188.50

    $16.60 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 67345

    Office

    $246.57

    Facility

    $186.12

    $11.07 lower than Modesto for the office setting.

See how rates vary across the country

67345 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$223.47

$300.97

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$300.971
AL$226.541
AR$223.471
AZ$244.421
CA$257.64–$313.6629
CO$257.151
CT$267.291
DC$282.601
DE$248.251
FL$254.11–$283.803
GA$239.93–$257.202
GU$262.301
HI$262.301
IA$228.971
ID$231.001
IL$249.34–$275.464
IN$232.181
KS$229.381
KY$234.621
LA$234.84–$245.582
MA$256.33–$279.552
MD$252.33–$282.603
ME$233.63–$243.422
MI$241.66–$258.572
MN$242.641
MO$232.00–$244.703
MS$227.701
MT$251.141
NC$235.701
ND$240.661
NE$229.721
NH$254.521
NJ$269.28–$280.242
NM$243.481
NV$248.351
NY$239.14–$298.245
OH$239.521
OK$232.721
OR$245.37–$263.262
PA$239.08–$261.912
PR$252.401
RI$255.601
SC$238.211
SD$239.421
TN$230.641
TX$237.71–$257.668
UT$241.231
VA$243.66–$282.602
VI$252.401
VT$241.071
WA$255.40–$283.612
WI$233.231
WV$241.041
WY$246.571

Explore 67345 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 67345 in Modesto, the physician’s office rate is $257.64 and the facility-setting rate is $191.38: a difference of $66.26.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 67345 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$283.40

$257.64 × 110% = $283.40

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 67345 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

7,465

Code
67345
Physician work
2.93
Practice expense
4.06
Malpractice
0.53

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 67345 in Modesto
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0172.9798
Practice expense4.06× 1.0964.4498
Malpractice0.53× 0.5360.2841
Total RVUs7.7137
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$257.64

Open 67345 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.931.017
Practice expense4.061.096
Malpractice0.530.536

(2.93 × 1.017 + 4.06 × 1.096 + 0.53 × 0.536) × $33.4009 = $257.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.931.017
Practice expense2.251.096
Malpractice0.530.536

(2.93 × 1.017 + 2.25 × 1.096 + 0.53 × 0.536) × $33.4009 = $191.38

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

67345 · Office / nonfacility

$257.64

Effective 2026-10-01

The base rate is $14.45 higher than on 2025-10-01, moving from $243.19 to $257.64 (5.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $243.19changed to$257.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.01 changed to 2.93
    • Practice expense RVU 3.83 changed to 4.06
    • Malpractice RVU 0.50 changed to 0.53
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $243.19

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$257.64$191.38RVU26D
2026-07-01$257.64$191.38RVU26C
2026-04-01$257.64$191.38RVU26B
2026-01-01$257.64$191.38RVU26A
2025-10-01$243.19$214.55RVU25D
2025-07-01$243.19$214.55RVU25C
2025-04-01$243.19$214.55RVU25B
2025-01-01$243.19$214.55RVU25A

67345 billing questions

When should 67345 be selected instead of an eye muscle surgery code?

Use 67345 when treatment is by chemodenervation injection to weaken an extraocular muscle. Use a recession or resection code when the surgeon surgically changes muscle position or length.

Can the supplied drug be billed separately?

The code reports the chemodenervation procedure. When the practice supplies the drug, report the applicable drug code separately when supported by the record.

How is bilateral treatment reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Are postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in 67345.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.

What happens if another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 67345PPRRVU2026_Oct_nonQPP.csv, line 7,465 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet